Leesburg Psychology

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY4794 Issued in FL

Legal business name

LEESBURG PSYCHOLOGY

Practice address

8529 US Highway 441
Leesburg, FL 34788-4021

Phone

(352) 787-7144

Fax

(352) 450-7600

NPI assigned

Apr 23, 2010

Last updated

May 10, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Evelyn R. Baez-Rojas, PH.D.

Title

Owner

Phone

(352) 787-7144

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James John Babiar, D.C.

  • Chiropractor
  • Orlando, FL
  • NPI 1043338361
  NPD (past)
• Virginia Samantha Lindmeier, PSY.D.

  • Psychologist
  • Lady Lake, FL
  • NPI 1730143249
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1710204292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8529 US HIGHWAY 441",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347884021",
            "telephone_number": "352-787-7144",
            "fax_number": "352-450-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8529 US HIGHWAY 441",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347884021",
            "telephone_number": "352-787-7144",
            "fax_number": "352-450-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEESBURG PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "BAEZ-ROJAS",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-787-7144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF FLORIDA",
            "identifier": "59515",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Leesburg Pain & Rehab, Inc
• Leesburg Pediatrics PA
• Leesburg Primary Care Center, LLC
• Leesburg Regional Medical Center (CFHA Occupational Health Services)
• Leesburg Regional Medical Center D/B/a LRMC Nursing Center (LRMC Nursing Center)
• Leesburg Regional Medical Center Inc (Uf Health Emergency/Urgent Care Eustis Mt. Dora)
• Leesburg Regional Medical Center Inc
• Leesburg Regional Medical Center Inc (UFHLH Outpatient Pharmacy)

• Clinical Psychologist in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.